10,187 Chain-Owned Nursing Homes in the United States
10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How chain-owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Apple Rehab Mystic runs a 60-bed for-profit home where the people doing the daily care are stretched thin. Nurse staffing sits at 2.91 hours per resident day against a national average of 3.86, roughly a quarter less, and weekends dip about 8% below the home's own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover runs 63.9%, well above the 45.8% national figure, meaning CNAs and nurses cycle through often enough that familiarity suffers. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $16,588 fine. Quality measures look decent and the last inspection was August 2024, but the staffing numbers are the ones worth weighing.
Apple Rehab Coccomo runs 100 beds under corporate ownership, and the staffing numbers are the first thing worth noticing: 3.36 nurse hours per resident per day, roughly 13 percent under the national average, with weekend coverage dropping another 11 percent below its own weekday level. Turnover sits at 53.6 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record shows 44 deficiencies, including one at the harm level and three tied to abuse, plus a $14,069 fine. Federal ratings put staffing at one star and both inspections and quality measures at two. The most recent inspection was August 2025.
Southern Pines runs on thinner nursing coverage than most homes, about 3.44 hours per resident per day against a national average near 3.86, and weekends drop further below its own weekday level. That gap matters most on Saturdays and Sundays, when families often visit and notice. Staff turnover sits at 58.7%, well above the national 45.8%, which means the people caring for residents are frequently new to the building. Its last full inspection was in October 2023, and the record shows 25 deficiencies, none at the harm or jeopardy level, none abuse-related. All three CMS star ratings land at two out of five, and it operates as a for-profit limited liability company.
Egret Cove Center runs 120 certified beds in Saint Petersburg as a nonprofit corporation, and its staffing sits at 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 6% below the home's own weekday levels, and annual turnover lands at 49% against a national figure of 45.8%. Inspections show 20 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, with one fine totaling $5,346 and the most recent survey dated May 2024. CMS rates health inspections and quality measures at 2 out of 5 stars each, staffing at 3. Nothing here suggests danger, but the thin hours and steady churn are worth asking about directly.
Charming Lakes Rehab runs 120 beds in Lakeland under for-profit LLC ownership, and its staffing sits about 11% under the national average at 3.44 nurse hours per resident day. Weekends dip roughly 4% below its own weekday coverage, and nearly 60% of staff turned over in the past year, well above the 45.8% national figure. That churn matters: it's hard to keep consistent care when the people providing it keep changing.
The inspection record is where things get concerning. Thirty-seven deficiencies on file, three of them serious enough to put residents at harm or jeopardy, with one $77,880 fine, and the last inspection was August 2025. Quality measures score well, but a 1-out-of-5 inspection rating alongside thin staffing tells the fuller story.
Harborview Decatur runs 73 certified beds in Decatur under for-profit LLC ownership. Nurse staffing works out to 3.86 hours per resident day, essentially the national average, not a shortfall, but weekends dip about 3% below the home's own weekday coverage, so the quietest shifts get the thinnest help. The bigger number is turnover: 68.1% annually against a national average of 45.8%, meaning roughly two of every three caregivers left within the year. Fourteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with two fines totaling $6,292. The last inspection was May 2025, so the picture is recent. Stable clinical care, churning staff, worth asking how they keep consistent aides on weekends.
Pruitthealth - Scenic View runs 148 certified beds in Baldwin under corporate, for-profit ownership. The staffing numbers are the real story here: 2.67 nurse hours per resident day against a national average of 3.86, roughly 31 percent below. Weekends drop another 11 percent below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 36.7 percent, which is actually better than the 45.8 percent national figure, so the problem isn't churn so much as how few hands are scheduled in the first place. Inspections are a strength: a five-star health inspection rating, ten deficiencies on record, none at harm or jeopardy level, and the most recent survey was August 2025. Quality measures and staffing each earned two stars, and that gap between a clean inspection record and thin daily coverage is what pulls the overall picture down.
Thomasville Vistas of Journey is a 52-bed for-profit home in Thomas County, and the numbers suggest a place with persistent compliance problems. Thirty-six deficiencies sit on its current record, including two tied to abuse and one serious enough to reach harm or jeopardy, that's not a paperwork issue, that's resident safety. Staff turnover runs about 52%, higher than the 46% national average, so the people caring for your family member are cycling through faster than most. The most recent inspection was December 2025, so the picture is current, and a $10,730 fine is on file. With 2/5 on both health inspections and quality measures, this one warrants close questions before you commit.
Haralson Nsg & Rehab Center runs 120 certified beds in Bremen under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing: 3.35 nurse hours per resident day, roughly 13% under the national average of 3.86, with weekends running about 6% leaner than weekdays. Turnover sits at 61.5% against a national 45.8%, meaning most of the people caring for your family member last year probably don't work there now. The inspection record is heavy, 30 deficiencies, three at harm or jeopardy level, one abuse-related, and a $8,948 fine, though the most recent survey was September 2025. Quality measures score mid-range; staffing and inspections don't.
Hartwell Health And Rehabilitation runs 3.61 nurse hours per resident day, about 7% under the national average, and weekend coverage drops roughly 9% below what the home staffs on weekdays. Turnover sits at 60.7% against a national 45.8%, which matters because residents see a rotating cast rather than familiar faces. The 14 deficiencies on file include one tied to abuse, though none reached the harm or jeopardy level, and the most recent inspection was February 2026. As a nonprofit with 92 beds, it isn't chasing shareholder returns, but the staffing and quality measure scores both land at 2 out of 5. Ask about weekend coverage and how they retain aides.
Cedar Valley is a for-profit LLC home with 100 beds in Cedartown, and its last inspection was recent, August 2025, with just three deficiencies on record, none at the harm level and none abuse-related. That inspection history is genuinely strong.
The staffing side tells a different story. At 3.57 nurse hours per resident day, it runs about 7% under the national average, and weekends dip roughly 6% below its own weekday staffing. Annual turnover sits at 58.4% against a national 45.8%, which means more than half the nursing staff leaves each year.
So you have a home that inspects well but runs lean and churns staff. Ask specifically who's on the floor on weekends.
Bryant Health and Rehabilitation Center runs on about 2.63 nurse hours per resident day, roughly a third below the national average of 3.86, and CMS gives it the lowest possible staffing rating because of that gap. Weekend coverage slips slightly below its own weekday numbers, and half the nursing staff turned over in the past year, a bit worse than the 45.8% national figure. The inspection record is the bright spot: four stars, five deficiencies, none involving harm or abuse, and a survey as recent as April 2025. Quality measures sit at two stars, so the clinical tracking numbers don't match the clean inspection sheet. Limited liability ownership, 75 beds.
Dawson Health and Rehabilitation is a 60-bed nonprofit home in Terrell County, and the numbers that stand out aren't the staffing ones, 3.34 nurse hours per resident day is roughly 14% under the national average, and weekends run about 11% lighter than weekdays, but turnover at 45.1% actually tracks close to the national figure. What should give you pause is the inspection record: 17 deficiencies, three of them serious enough to involve harm or jeopardy, one tied to abuse, and a single fine of $121,401. The most recent inspection was March 2026. When a home stacks up that many problems against below-average staffing, the question isn't whether care can be good on a given shift, it's whether it's reliable.
Lillian Carter Health Center By Harborview runs a hundred certified beds in Plains, and the staffing numbers are where the trouble shows. At 2.98 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 19% below its own weekday levels, a one-star CMS staffing rating reflects that gap. The record shows 13 deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent inspection was September 2025. Quality and health inspection ratings both land mid-range at three stars. The for-profit LLC structure and thin licensed-nurse hours are worth asking about directly before you decide.
River Brook runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 14% below the home's own weekday coverage. Turnover sits at 42.3%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled. The inspection record is where it gets serious: 19 deficiencies, including two at harm or jeopardy level and two tied to abuse, with $16,720 in fines. Two CMS star ratings sit at 1 out of 5, and the most recent inspection was September 2025, recent enough to reflect current conditions, not old history.
Carrier Mills Nsg & Rehab Ctr runs 99 certified beds as a for-profit corporation, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the hours thin out right when families tend to visit. Turnover lands at 30.2%, better than the 45.8% national figure, and inspectors gave the place a 5/5 health inspection rating as recently as September 2025. But seven deficiencies sit on the current record, one at harm or jeopardy level, with a single $12,735 fine. Quality measures score 1/5, staffing stars 2/5. Good inspections, thin daily coverage.
Twin Lakes Extended Care runs 56 beds in Paris under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover at 41% is actually a bit better than the 45.8% national figure, but the inspection record is where things get heavy: 29 deficiencies, three of them serious enough to endanger residents, five tied to abuse, and a $71,455 fine. The last full inspection was in June 2024, so that record is fairly current. Quality measures score well; staffing is the weak point.
Nokomis Hc & Senior Living runs 92 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. A one-star staffing rating against the national average means nurse aide and RN hours per resident are well below what most homes provide, and thin coverage is the kind of thing that shows up in daily care long before it shows up in a survey. The inspection record backs that up: 27 deficiencies on file, including three serious enough to put residents in harm's way and four tied to abuse. Two fines totaling $34,418 have been issued, and the last full inspection was in November 2024.
Montgomery Nursing & Rehab Center runs about 2.99 nursing hours per resident per day, well under the national average of 3.86, roughly a quarter less hands-on time than typical. Weekends dip even further, about 6% below the home's own weekday staffing, and the 38.1% annual turnover, while lower than the national 45.8%, still means more than a third of the staff leaves each year. The current record shows 16 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $12,048 fine. A March 2025 inspection is recent, and the 4-star health inspection rating suggests the survey itself went reasonably well, but the 1-star staffing rating and 2-star quality measures tell a different story about daily care.
Elevate Care Des Plaines runs 275 beds under for-profit LLC ownership, and its inspection record is the part that should get your attention. Thirty-six deficiencies on file, ten of them serious enough to put residents in harm's way, plus two abuse-related findings and $246,873 in federal fines across four separate penalties. Staffing sits at 3.80 nurse hours per resident day, just under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover of 44.6% tracks close to the national figure, so that's not the outlier here. The last full inspection was in August 2024, and the state's most recent health inspection rating came in at 2 out of 5.
Frequently asked questions
How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?